Victorian rural emergency care—a case for advancing nursing practice

Authors

  • Elise Sullivan MPP GDB RN PhD (Candidate),

    Corresponding author
    1. Director, DPAR Consulting Pty Ltd, Department of Nursing and Midwifery, Monash University, Myrniong, Victoria, Australia
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  • Desley G. Hegney RN Dip Nur Ed B Arts (Hons) PhD,

    1. Winthrop Professor of Nursing, School of Population Health, University of Western Australia and Sir Charles Gairdner Hospital, Centre for Nursing Research, Innovation and Quality, Perth, Australia
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  • Karen Francis PhD Med MHlthSCPHC GradCertUniTeach/Learn BHlthSCNsg DipHlthSCNsg

    1. Professor Head, School of Nursing, Midwifery and Indigenous Health, Charles Sturt University, Australia
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Elise Sullivan, Department of Nursing and Midwifery, Monash University, 90 Muirs Lane, Myrniong, Vic. 3341, Australia. Email: elise.sullivan@dpar.com.au

Abstract

Sullivan E, Hegney DG, Francis K. International Journal of Nursing Practice 2012; 18: 226–232

Victorian rural emergency care—a case for advancing nursing practice

The aim of this paper is to profile the emergency care patients seen by a selection of rural health services in Victoria, and show how advancing nursing practice could contribute to a more sustainable model of care. Quantitative patient data extracted from five rural health services across Victoria ranging in size, were analysed using descriptive statistic techniques. Most patients who attended for emergency care did not require urgent or immediate medical attention (70%), many had minor injuries (over 30%) and did not need medicines (57%) but were attended by a doctor either directly or via telephone (over 74%). If emergency care services in rural Victoria are to be sustained in the face of severe medical workforce shortages, registered nurses will need to be enabled through professional development, legislation and organisation policy to manage autonomously a larger proportion of the non-urgent, less complex patients who present to these emergency services.

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